<style type="text/css">
	#Jbank_From .field {line-height: 30px;font-size: 12px;margin: 5px auto 5px;}
	#Jbank_From .field label{ width:130px}
	#Jbank_From .field input.f-input{ height:20px; line-height:20px; padding:5px}
	#Jbank_From .field select{ height:30px; line-height:30px; }
</style>
<form name="Jbank_From" id="Jbank_From" action="{url x="index" r="uc_money#savebank"}" method="post">
	<div class="field">
	    <label>开户名：</label>
	    <span><input type="text" readonly="readonly" name="real_name" id="Jbank_real_name" class="f-input readonly" style="width:100px;" value="{$user_info.real_name}"></span>
	</div>
	<div class="blank1"></div>
	 <div class="field">
	    <label> 帐户类型：</label>
	    <span>借记卡&nbsp;&nbsp;<span class="f_red">(不支持信用卡)</span></span>
	</div>
	<div class="blank1"></div>
	 <div class="field">
	    <label><span class="f_red b">*</span> 选择银行：</label>
	    <span>
	    	<select id="Jbank_bank_id" name="bank_id">
	    		<option value="">请选择</option>
				{foreach from="$bank_list" item="item"}
				{if $item.is_rec eq 1}
				<option value="{$item.id}" day="{$item.day}">{$item.name}</option>
				{/if}
				{/foreach}
				<option value="other">其他</option>
			</select>
			<select id="Jbank_otherbank" name="otherbank" class="hide">
	    		<option value="">请选择</option>
				{foreach from="$bank_list" item="item"}
				{if $item.is_rec eq 0}
				<option value="{$item.id}" day="{$item.day}">{$item.name}</option>
				{/if}
				{/foreach}
			</select>                     
	    </span>
	</div>
	<div class="blank1"></div>
	<div class="field" >
																
					<label for="settings-region"><span class="f_red b">*</span> 开户行所在地：</label>
					
					{$LANG.REGION_LV1}：<select name="region_lv1">
						    <option value="0">={$LANG.SELECT_PLEASE}=</option>
							{foreach from=$region_lv1 item=lv1}
							<option {if $lv1.selected eq 1}selected="selected"{/if} value="{$lv1.id}">{$lv1.name}</option>
							{/foreach}
						  </select>
											
					{$LANG.REGION_LV2}：<select name="region_lv2">
							<option value="0">={$LANG.SELECT_PLEASE}=</option>
						  </select>
											
					{$LANG.REGION_LV3}：<select name="region_lv3">
							<option value="0">={$LANG.SELECT_PLEASE}=</option>	
						 </select>
											
					{$LANG.REGION_LV4}：<select name="region_lv4" id="Jbank_region_lv4">
							<option value="0">={$LANG.SELECT_PLEASE}=</option>
							
						  </select>
	 </div>				
		<div class="blank1"></div>		
	<div class="field">								
		<label for="settings-bankzone"><span class="f_red b">*</span> 开户行网点：</label>
		<span><input type="text" name="bankzone" id="Jbank_bankzone" class="f-input" style="width:270px;" value=""></span>
		&nbsp;&nbsp;<a href="http://www.cardbaobao.com/bank/index.asp" target="_blank">网点查询</a>
	</div>
	<div class="blank1"></div>
   <div class="field">
       <label><span class="f_red b">*</span> 银行卡号：</label>
       <span><input type="text" name="bankcard" class="f-input" id="Jbank_bankcard" style="width:270px;font-weight:bolder;" value=""></span>
   </div>
   <div class="blank1"></div>
   <div class="field">
       <label><span class="f_red b">*</span> 确认卡号：</label>
       <span><input type="text" name="reBankcard" class="f-input" id="Jbank_rebankcard" style="width:270px;font-weight:bolder;" value=""></span>
   </div>
   <div class="blank20"></div>
	<div class="tc">
		<input type="button" value="确认添加" class="sub_btn">
		<input type="button" value="取消" class="reset_btn">
    </div>
	<div class="blank20"></div>
	       
</form>
<script>
		$("#Jbank_bankcard,#Jbank_rebankcard").bankInput(); 
</script>